Practice pattern of physician’s directions of exercise restriction in patients with chronic kidney disease: results from the Chronic Kidney Disease Japan Cohort study

Hiroki Nishiwaki, Takeshi Hasegawa, Megumi Shinji, Fujio Matsuo, Tsuyoshi Watanabe, Hirofumi Makino, Fumihiko Koiwa, Akira Hishida

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: The practice patterns of exercise restrictions for patients with chronic kidney disease have not been adequately evaluated yet; thus, we examined them using a cross-sectional design and explored the factors related with those restrictions. Methods: The Chronic Kidney Disease Japan Cohort study was a multicentre cohort study of Japanese patients (age 20–75 years) living in Japan. We used the information in the questionnaire on the restriction of physical activities offered by physicians to the patients during enrolment. We initially considered and used the following data as the clinical factors that the physician used for decision making on the directions of restriction of physical activities: age, sex, cause of chronic kidney disease (CKD), comorbid diseases, body mass index (BMI), systolic blood pressure, estimated glomerular filtration rate (eGFR) and urine albumin. The logistic regression model was used to explore the factors and estimate their adjusted odds ratio with regard to physician’s direction of restriction of physical activities. Results: Physician’s direction of exercise restrictions was implemented in 9.9% of the participants. In 17 facilities, the proportion of physician’s direction of exercise restriction ranged from 2.9 to 17.8%. The logistic regression analysis showed that the proportion of the factors such as younger age, cardiovascular disease, congestive heart failure and lower eGFR was higher in patients with physician’s direction of exercise restrictions. Conclusions: The findings from this study suggested the factors related with prescribing exercise restrictions. Further studies examining which patients with CKD need direction of exercise restrictions are needed.

Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalClinical and Experimental Nephrology
DOIs
Publication statusAccepted/In press - Mar 19 2018

Fingerprint

Physicians' Practice Patterns
Chronic Renal Insufficiency
Japan
Cohort Studies
Exercise
Physicians
Logistic Models
Glomerular Filtration Rate
Blood Pressure
Direction compound
Multicenter Studies
Albumins
Decision Making
Body Mass Index
Cardiovascular Diseases
Heart Failure
Odds Ratio
Regression Analysis
Urine

Keywords

  • Adult
  • Chronic kidney disease
  • Exercise restrictions
  • Physical activities
  • Practice pattern

ASJC Scopus subject areas

  • Physiology
  • Nephrology
  • Physiology (medical)

Cite this

Practice pattern of physician’s directions of exercise restriction in patients with chronic kidney disease : results from the Chronic Kidney Disease Japan Cohort study. / Nishiwaki, Hiroki; Hasegawa, Takeshi; Shinji, Megumi; Matsuo, Fujio; Watanabe, Tsuyoshi; Makino, Hirofumi; Koiwa, Fumihiko; Hishida, Akira.

In: Clinical and Experimental Nephrology, 19.03.2018, p. 1-8.

Research output: Contribution to journalArticle

Nishiwaki, Hiroki ; Hasegawa, Takeshi ; Shinji, Megumi ; Matsuo, Fujio ; Watanabe, Tsuyoshi ; Makino, Hirofumi ; Koiwa, Fumihiko ; Hishida, Akira. / Practice pattern of physician’s directions of exercise restriction in patients with chronic kidney disease : results from the Chronic Kidney Disease Japan Cohort study. In: Clinical and Experimental Nephrology. 2018 ; pp. 1-8.
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